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CT scan of sinuses

Joanna Jaworek-Troć, Michał Zarzecki, Izabela Mróz, Paweł Troć, Robert Chrzan, Jarosław Zawiliński, Jerzy Walocha, Amdrzej Urbanik
PURPOSE: The purpose of this research is to define the total number of septa and the total number of antra in the sphenoid sinuses (created as a result of the presence of additional septa), as well as the relation between the number of the septa and their location in the adult population. MATERIALS AND METHODS: e study was conducted as a retrospective analysis of the computed tomography (CT) scans of the paranasal sinuses of 296 patients (147 females and 149 males), who did not present any pathology in the sphenoid sinuses...
2018: Folia Medica Cracoviensia
Cihan Gündoğan, Aytül Hande Yardimci, Burçak Yilmaz Güneş, Tevfik Fikret Çermik
A 68-year-old woman with colon carcinoma was referred to F-FDG PET/CT imaging for staging. In addition to primary tumor involvement, PET/CT demonstrated focal FDG uptake in the right temporal lobe suggestive of primary brain tumor or metastasis. To delineate the lesion, a brain MRI scan showed sigmoid sinus thrombosis and vasogenic edema in the right temporal lobe. The patient presented a history of right-sided headache that began 1 week before the PET/CT. Neurological examination and MRI findings were concluded as subacute venous infarct due to sigmoid sinus thrombosis and that is a potential cause for false-positive FDG uptake on PET/CT...
December 3, 2018: Clinical Nuclear Medicine
Yanina Herrera, Juan Martín Leardi, Marta S Fernández
Thalattosuchians are a group of Mesozoic crocodylomorphs known from aquatic deposits of the Early Jurassic-Early Cretaceous that comprises two main lineages of almost exclusively marine forms, Teleosauridae and Metriorhynchoidea. Teleosaurids were found in shallow marine, brackish and freshwater deposits, and have been characterized as semiaquatic near-shore forms, whereas metriorhynchids are a lineage of fully pelagic forms, supported by a large set of morphological characters of the skull and postcranial anatomy...
2018: PeerJ
Xiao-Zhang Ying, Shi-Yuan Shi, Qi Zheng, Bo Zhu, Yang-Hui Jin, Ming-Feng Zheng
OBJECTIVE: To explore the clinical effect of cortical bone trajectory screw technology combined with anterior mini-open debridement and prop graft for lumbar tuberculosis in elderly. METHODS: The clinical data of 22 patients with lumbar tuberculosis treated by cortical bone trajectory screw technology combined with anterior mini-open debridement and prop graft from February 2015 to December 2016 were retrospectively analyzed. There were 13 males and 9 females with an average age of (73...
November 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Mohammadhossein Dadgarnia, Abbasali Rahmani, Mohammadhossein Baradaranfar, Saeid Atighechi, Vahid Zand, Mojtaba Meybodian, Mohammad Mandegari, Sedighe Vaziribozorg
INTRODUCTION: This study was attempted to investigate the relationship between radiologic and endoscopic findings and pre- and post-operative olfactory scores in chronic rhinosinusitis with nasal polyps. MATERIALS AND METHODS: In this study, 40 patients aged 19-64 years with chronic rhinosinusitis with nasal polyps (CRSwNP) undergoing endoscopic sinus surgery were involved. The patients' olfactory status was evaluated using Smell Identification Test (Iran SIT) before and 3 months after the surgery...
November 27, 2018: European Archives of Oto-rhino-laryngology
Islam R Herzallah, Osama A Marglani, Sumaiya H Muathen, Arwa A Obaid
BACKGROUND: Although several studies have commented on causes of dacryocystorhinostomy (DCR) failure, detailed description of anatomical findings in such cases remains insufficient. OBJECTIVE: Our objective was primarily to analyze radiologic, endoscopic, and intraoperative findings in patients presenting with failed DCR and secondarily to assess the outcome of revision endoscopic DCR (endo-DCR) carried out at our institution. METHODS: Twenty-four failed DCRs presenting to our tertiary care center were retrospectively analyzed...
November 28, 2018: American Journal of Rhinology & Allergy
C Nabet, C Belzunce, D Blanchet, P Abboud, F Djossou, B Carme, C Aznar, M Demar
BACKGROUND: American histoplasmosis is a mycosis caused by Histoplasma capsulatum. A variety of clinical features of histoplasmosis have been commonly described ranging from asymptomatic infections to severe pulmonary infections. In immunocompromised individuals, progressive disseminated forms are frequent, leading to fatal outcome if untreated. However, H. capsulatum sinusitis is unusual with a few cases documented over the last three decades and may be underdiagnosed or confused with other fungal aetiologies, especially outside endemic regions...
November 26, 2018: BMC Infectious Diseases
Maho Nakazawa, Katsuya Suzuki, Hidekata Yasuoka, Kunihiro Yamaoka, Tsutomu Takeuchi
Background: In granulomatosis with polyangiitis (GPA), peripheral nerve involvement is common but central nervous system (CNS) involvement is extremely rare and treatment strategy has not been established. We report a case of intravenous cyclophosphamide (IVCY)-resistant GPA with associated cranial neuropathies that was successfully treated with rituximab (RTX). Case presentation: A 37-year-old man with intractable sinusitis had several months of headache, hoarseness, and dysphagia; a month of right-sided deafness and nasal bleeding; and a week of dysarthria, steppage gait, and numbness in the right L5 distribution...
2018: Inflammation and Regeneration
Aleksandra Vuksanovic-Bozaric, Batric Vukcevic, Marija Abramovic, Nemanja Vukcevic, Natasa Popovic, Miroslav Radunovic
PURPOSE: The pterygopalatine fossa is a deep viscerocranial space containing the maxillary artery and nerve, the pterygopalatine ganglion, and the nerve of the pterygoid canal (vidian nerve). The endoscopic approach to this area relies on adequate preoperative imaging, such as computed tomography (CT). The aim was to determine the morphometric characteristics of the pterygopalatine fossa and its communications, including several previously unpublished measurements. METHODS: 100 CT scans (56 male and 44 female patients) were analyzed...
November 23, 2018: Surgical and Radiologic Anatomy: SRA
Lana Jurlin, Tomislav Gregurić, Tomislav Baudoin, Marko Velimir Grgić, Leo Pažanin, Andro Košec, Glenis Scadding, Livije Kalogjera
PURPOSE: We aimed to evaluate the interaction between the overall severity of chronic rhinosinusitis (CRS) before treatment and subjective improvement following surgical or medical treatment. PROCEDURES: A group of 97 patients with CRS completed the visual analog scale (VAS) symptom score and the Sino-Nasal Outcome Test 22 (SNOT-22) questionnaire in the moment of their sinus computerized tomography (CT) scan. Data were analyzed via a 2-step cluster analysis based on gender, polyp presence, CT scan, and VAS scores for symptoms...
November 20, 2018: ORL; Journal for Oto-rhino-laryngology and its related Specialties
Z X Wang, Y Y Lai, F H Chen, J B Shi, K J Zuo
Objective: To explore the clinical features, diagnostic methods and therapeutic strategy of silent sinus syndrome (SSS). Methods: A retrospective study was made on eight SSS patients treated during 2013-2016 in Longgang ENT Hospital and Otorhinolaryngology Hospital of the First Affiliated Hospital of SUN Yat-sen University. The following clinical data, including demographic data, symptoms, history of trauma and surgery, signs, imaging examination, endoscopic surgery and postoperative outcomes, were analyzed to summarize the diagnosis and treatment experiences...
November 7, 2018: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Hiroshi Sato, Masanori Nakamura, Takeshi Uzuka, Mayo Kondo
OBJECTIVES: Nonocclusive mesenteric ischemia (NOMI) is a rare but life-threatening complication after cardiovascular surgery. Early diagnosis and treatment is essential for a chance to cure. The aim of this study is to identify the independent risk factors for NOMI based on the evaluation of 12 cases of NOMI after cardiovascular surgery. METHODS: We retrospectively analyzed 12 patients with NOMI and 674 other patients without NOMI who underwent cardiovascular surgery in our hospital...
November 16, 2018: Journal of Cardiothoracic Surgery
Chia-Cheng Hsu, Shih-Hung Tsai, Jen-Chun Wang, Hung-Wen Kao, Chin-Wang Hsu, Wei-Hsiu Liu, Sy-Jou Chen
A ruptured cavernous carotid aneurysm (CCA) with carotid cavernous fistula can appear as a benign headache but progress to a swollen and bloodshot eye overnight. A 66-year-old woman visited emergency department with sudden onset of pain behind her left forehead and vomiting. She was treated for a migraine-like headache and discharged. She presented again on the next day with a persistent headache and a swollen left eye with blurred vision. An ophthalmologic examination revealed erythema of the left lid and chemosis at the temporal and lower bulbar conjunctiva...
November 7, 2018: American Journal of Emergency Medicine
Y J Ji, Y F An, J M Xue, Q F Li, L M Suo, Y T Zhang, R Hou, Q Li, F L Cheng, C Q Zhao
Objective: The aim of this study is to explore an improved trans-nasal endoscopic surgical approach for vidian neurectomy. Method: Ninety-one patients with nasal hyperreactive disease were collected, including 49 cases of allergic rhinitis and 42 cases of non allergic rhinitis. All sufferers enrolled in the study have treated with medicine, but the symptoms were not effectively controlled. Preoperative CT localization of the vidian canal was performed in each candidate. During the surgery a"Three-step" surgical approach were followed under endoscopic guidance in accordance with the operation procedures...
October 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Caryl Elizabeth Richards, Stephen Dorman, Patricia John, Anthony Davies, Sharon Evans, Tishi Ninan, David Martin, Sriranj Kannoly, Gail Roberts-Davies, Mark Ramsey, Daniel Rhys Obaid
AIM: To determine the radiation dose and image quality in coronary computed tomography angiography (CCTA) using state-of-the-art dose reduction methods in unselected "real world" patients. METHODS: In this single-centre study, consecutive patients in sinus rhythm underwent CCTA for suspected coronary artery disease (CAD) using a 320-row detector CT scanner. All patients underwent the standard CT acquisition protocol at our institute (Morriston Hospital) a combination of dose saving advances including prospective electrocardiogram-gating, automated tube current modulation, tube voltage reduction, heart rate reduction, and the most recent novel adaptive iterative dose reconstruction 3D (AIDR3D) algorithm...
October 28, 2018: World Journal of Radiology
Seong Hyun Park, Ki Su Park, Jeong Hyun Hwang
We report a rare case of arachnoid granulations mimicking multiple osteolytic bone lesions. A 66-year-old woman was admitted to a local clinic for a regular checkup. Upon admission, brain CT showed multiple osteolytic lesions in the occipital bone. These needed to be differentiated from multiple osteolytic bone tumor. Subsequent brain MRI revealed that the osteolytic lesions were isointense to cerebrospinal fluid, hyperintense on T2-weighted image, hypointense on T1-weighted image, and with subtle capsules around the osteolytic lesions that were visible after gadolinium injection...
October 2018: Brain Tumor Research and Treatment
Li Zhang, Yue-Feng Chen, Yan-Xu Che, Yan-Feng Xu, Jing Zheng, Shu-Jing Yu
OBJECTIVE: The aim of this study was to determine the impact of adaptive iterative dose reduction 3D (AIDR3D) on the improvement of shoulder image quality in low-radiographic dose head and neck CT angiography (CTA). MATERIALS AND METHODS: Ninety patients underwent CTA examination were randomly divided into two groups, namely group A (n = 45) and B (n = 45). Patients in group A were scanned under 120kV and 300mA with images reconstructed by filtered back projection (FBP), and patients in group B were scanned under 80kV and auto mA with images reconstructed by AIDR3D...
October 26, 2018: Current Medical Research and Opinion
Loraine Vatin, Joanna Vitte, Thomas Radulesco, Jean-Baptiste Morvan, Jean Del Grande, Arthur Varoquaux, Stéphane Ranque, Jean Gaudart, Patrick Dessi, Carole Cassagne, Justin Michel
No abstract text is available yet for this article.
October 24, 2018: Clinical Otolaryngology
Dounia Basraoui, Ayoub Elhajjami, Hicham Jalal
Orbital cellulitis is rare but potentially severe in children. Diagnosis is primarily based on clinical examination and imaging (CT or MRI). This study aims to highlight the role of imaging, in particular CT scan, in the diagnosis and in the treatment of this pathology. We conducted a retrospective study of 56 cases of orbital cellulitis, whose data were collected in the Department of Radiology at the Hospital mother and child CHU Mohamed VI, Marrakech over a period of six years (January 2011-October 2017)...
2018: Pan African Medical Journal
R Jankowski, C Rumeau, D T Nguyen, P Gallet
INTRODUCTION: The absence of opacities on CT scan usually eliminates paranasal sinus disease as a cause of facial pain. The authors report a case, which constitutes an exception to this general rule, corresponding to a new aetiology of sinus pain. CASE REPORT: A 16-year-old boy presented with very painful "recurrent acute sinusitis" triggered by pressure changes (altitude, diving, surfing), with no sinus opacity on CT scan. Surgical exploration demonstrated absence of a primary or accessory maxillary ostium...
October 18, 2018: European Annals of Otorhinolaryngology, Head and Neck Diseases
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